BIRAJ MUKESH SHAH MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001013

License Status

ACTIVE

Business

Title

First Name

BIRAJ

Middle

MUKESH

Last Name

SHAH

Business Name

BIRAJ MUKESH SHAH MD

Original Issue Date

11/16/2018

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

08/14/2024